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NPI 1851447486

NPI 1851447486 : STEPHEN L PROPATIER ACCNP : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1851447486
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN L PROPATIER ACCNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    02/07/2012
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Provider Practice Location Address
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    Address Line         |    2 DUDLEY ST SUITE 200
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02905-3236
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    Country              |    US
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    Telephone            |    401-457-2101
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    Fax                  |    401-457-2141
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Provider Business Mailing Address
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    Address Line         |    2 DUDLEY ST SUITE 200
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02905-3236
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    Country              |    US
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    Telephone            |    401-457-2101
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    Fax                  |    401-457-2141
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    NPP37288
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    License Number State |    RI
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